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”Vi har ju en jätteviktig roll”: En kvalitativ intervjustudie om hemtjänstpersonals erfarenheter av att möta äldre personer med psykisk ohälsa
Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
”We have a very important role” : A qualitative interview study about home care employees’ experiences of elderly’s mental illness (English)
Abstract [sv]

I denna kvalitativa studie har åtta semistrukturerade intervjuer genomförts med yrkesverksamma undersköterskor inom hemtjänst. Syftet med studien är att undersöka hemtjänstpersonalens erfarenheter av äldres psykiska ohälsa inom ramen av sitt arbete. Genom en tematisk analys identifierades två huvudteman. I det första temat Människan som projekt framkommer att intervjupersonerna ser på mötet med äldre med psykisk ohälsa som komplext och lyfter vikten av ett gott bemötande och regelbunden kontakt som viktiga faktorer för att hantera mötet på bästa sätt. Detta presenteras vidare genom två underteman – Bemötande och Kontinuitet. I det andra temat Människan i verksamheten framkommer utmaningarna i mötet med äldre personer med psykisk ohälsa som samtliga ligger i verksamheten. Utmaningarna består enligt intervjupersonerna av tidsramar som är svåra att förhålla sig till, samt en kompetensbrist hos både de själva och i samhället när det kommer till äldre med psykisk ohälsa. Även detta presenteras vidare genom underteman – Tidsramen och Kompetensbrist. Avslutningsvis kopplas resultatet till tidigare forskning. Där framkommer likheter mellan forskning och studiens resultat avseende mötet med äldre personer med psykisk ohälsa som komplext och utmanande utifrån brist på tid, kunskap och kompetens. Komplexiteten och utmaningarna problematiseras vidare utifrån Lipskys teori om gräsrotbyråkrati och visar på balansgången i hemtjänstpersonalens arbete mellan individens behov och arbetets struktur.

Abstract [en]

In this qualitative study, eight semi-structured interviews were conducted with educated home care employees within the home care workforce. The aim of this study is to investigate home care employees’ experiences of elderly people with mental illness within the frame of their work. Through a thematic analysis two main themes where identified. The first theme, The individual as a project, presents how the home care employees perceive the meeting with elderly’s mental illness as complex, and experience that a good reception and regular contact are two important factors for being able to handle mental illness in the best way. This is further presented in two subthemes – Reception and Continuity. The second theme, The individual within the organization, presents the challenges that the home care employees encounter with working with elderly people with mental illness. These challenges consist of timeframes that the employees perceive as hard to work within but also a lack of competence, both within themselves and in the society when it comes to elderly’s mental illness. Furthermore, this is also presented in two subthemes – The timeframe and Lack of competence. Finally, the result is connected to previous research where similarities between the previous research and the result is revealed regarding the meeting with mental illness as complex and comprised of challenges, including lack of time, knowledge and competence. The complexity and challenges are further problematised from Lipsky’s theory of street level bureaucracy and emphasises the balance in home care employees’ work between the individual needs and the structure of the work.

Place, publisher, year, edition, pages
2019. , p. 50
Keywords [en]
Home care, Home care employees, Elderly’s mental illness, Street Level Bureaucracy, Thematic analysis
Keywords [sv]
Hemtjänst, Undersköterskor, Psykisk ohälsa hos äldre, Grästrotsbyråkrati, Tematisk analys
National Category
Social Work
Identifiers
URN: urn:nbn:se:hj:diva-45281ISRN: JU-HHJ-SAA-1-20190162OAI: oai:DiVA.org:hj-45281DiVA, id: diva2:1335272
Subject / course
HHJ, Social Work
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Available from: 2019-08-13 Created: 2019-07-04 Last updated: 2019-08-13Bibliographically approved

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Citation style
  • apa
  • harvard1
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